Mitzlaff S, Wegner E L, Kebbel J, Weinstein M G
GhK-Universität, Kassel.
Psychiatr Prax. 1988 Jan;15(1):4-6.
With reference to a recent reader on rehabilitation for the chronically mentally ill in the German Democratic Republic and the USSR the authors travelled to Leningrad, USSR, to learn about the efforts to integrate rather than add up multidisciplinary approaches to work rehabilitation. The authors found a sheltered workshop for about 400 patients where much of the principles of work rehabilitation obviously work: flexible and manyfold work, well adapted to the varying standards of the patients both unskilled workers and patients with academic background. The workshop being one branch of the nationally significant Bechterev Institute for Psychiatry and Neurology also transfers patients to the general workforce where rehabilitation patients are paid a 125% salary. Both the optimistic atmosphere and the economically self supporting shop give good reason to learn more about rehabilitation for the chronically ill in the USSR and the efforts to progress.
参照近期一位读者关于德意志民主共和国和苏联慢性精神病患者康复情况的来信,作者前往苏联列宁格勒,了解在工作康复方面整合而非简单累加多学科方法的努力。作者发现了一个容纳约400名患者的庇护工厂,在那里工作康复的许多原则显然行之有效:工作灵活多样,很好地适应了非技术工人和有学术背景患者等不同水平的患者。该工厂作为具有全国重要意义的别赫捷列夫精神病学和神经病学研究所的一个分支,还将患者输送到普通劳动力市场,康复患者能获得125%的工资。乐观的氛围和经济上自给自足的工厂都很有理由让人们更多地了解苏联慢性病患者的康复情况以及取得进展的努力。